
Your side of the table. Every time. Healthcare and office tenant representation in Tysons Corner, Virginia.
Medical, dental and ambulatory practices and office tenants across Tysons, McLean and Northern Virginia. Decision clarity, total occupancy cost and negotiation strategy, not a tour schedule.
Brian Perry Advisory represents the tenant, the practice and the buyer. Never the landlord. The office is at 1750 Tysons Boulevard, which means the market you are negotiating in is the one outside the window, not a submarket read off a report.

A quarter of Fairfax County’s office space, on one percent of its land.
Tysons submarket figures from published brokerage research for the first quarter of 2026. Healthcare count from a review of provider locations across the Tysons and McLean corridor. Numbers move every quarter and different publishers measure them differently, which is the subject of one of the notes below.
Representation, and the analysis behind it.

Healthcare Practices
Medical, dental, behavioural health and ambulatory practices in Tysons and McLean.

Office Tenant Rep
Office tenants in Tysons Corner and across Northern Virginia.

Renewals & Relocations
Stay, renegotiate or move. The analysis behind the decision.

Buyer Representation
Practices and businesses buying the building they will occupy.

Multiple Locations
One point of contact across markets, with local expertise in each.

The Tysons Market
Inventory, vacancy, rents and transit, from a tenant’s point of view.
A practice does not lease square footage.
It leases plumbing, power, floor loading, parking ratio and patient access. Most of the buildings in a Tysons search cannot deliver all five, and the rate is rarely what disqualifies them.
- Buildings screened against the clinical spec before anyone books a tour
- Allowance negotiated against a costed build-out, not a per foot rule of thumb
- Parking ratio tested against real patient volume, not the building average
- Timing built backwards from the date you have to be seeing patients
17.7 percent vacant. 23.4 percent available.
That six point gap is other tenants already in motion, and it is where your leverage comes from. But it lives in commodity space. The Class A blocks near the Silver Line are absorbing and they are not negotiating like the rest of the market.
- Every option modelled on the same basis, including staying put
- Concessions argued from comparable deals, not published averages
- Renewal runway started before the leverage window closes
- Coordination with counsel, architects and project managers through occupancy

What the reports say, and what they leave out.
Five Brokerages, Five Different Vacancy Rates: What the Northern Virginia Office Reports Are Not Telling You
Five firms published five different vacancy numbers for the same quarter. The spread is methodology, not disagreement, and neither one helps you at the table.
If Your Northern Virginia Office Lease Expires in 2027 or 2028, You Are Probably Already Late
Published leasing timelines run six to twenty four months. The leverage window closes about a year before the lease does.
Understanding the Office Leasing Landscape in 2026
General office favours tenants. Medical favours landlords. Fairfax and Arlington are running both conditions at once.
“The focus is decision clarity, financial implications and negotiation strategy. Understanding total occupancy cost, concession dynamics and long term risk before a lease is signed. Brian Perry, CCIM · Principal Advisor, eXp Commercial

Request a complimentary strategy call.
Thirty minutes on your requirement, your timing and where the leverage actually sits. A written read on the market comes back before anything is toured. No obligation.
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